78%
877 reviews
Worth It Rating
Our index shows the percentage of community members saying this was "Worth it". See cosmetic treatment rankings
How to Improve Wide Nose and Deep Smile Lines
What can I do to improve the appearance a wide nose and deep smile lines?
Asked 25 months ago by
jessican522 in chicago, il
+1
Treatment for wide nose and deep smile lines.
Rhinoplasty will bring your face into better harmony of the component parts. The deep smile lines can be greatly improved with Radiesse. This filler lasts 12-18 months.
+2
Rhinoplasty and fillers
Hi Jessica,
You have a beautiful smile. When we smile, you can see laugh lines. It's completely normal to see them and you'll still see them to a degree after injections but they'll be slightly washed out. The reason is that you have such great cheeks! They're full, healthy and high. You look great, but the folds can be diminished with fillers.
The nose needs an appropriate analysis since you can't do that on a single casual oblique photo. It looks like some tip work and narrowing will do...
more
+2
Rhinoplasty and treatment of nasolabial folds
You do indeed have a pretty face.
A rhinoplasty would likely benefit your appearance. In addition to the dorsum, it may be wise tho address the tip of the nose, which tends in your case to droop a bit, adding unnecessarily to the length of the nose. This problem is a bit more complex than just a tip rhiinoplasty, since the tip will likely need some support. You know of course to consult with experienced plastic surgeons who are comfortable with surgery of the nose.
For the nasolabial...
more
+1
Options for improving wide nose and deep smile lines
Deep smile lines are best addressed through dermal fillers such as Restylane and Juvederm. These are dynamic wrinkles and are best treated with fillers.
The best way to improve a wide nose is through tip refinement techniques that can narrow and raise the tip if necessary. Sometimes there is a depressor component of the smile that makes the tip plunge downward upon animation. This ligament can be released; after the rhinoplasty the tip does not droop upon smiling. Osteotomies need to...
more
+1
Wide Nose and Deep Smile Lines
A rhinoplasty will decrease the width of your nose. It also looks like you have fullness of the profile line above the tip. If you have increased depth of the smile lines at rest, this can be filled with liposculpture (fat injections) or injection of Radiesse.
+1
Rhinoplasty can correct a wide nose
Hi Jessican522 - A rhinoplasty would be great to reduce the width of your nose. It's an outpatient procedure that involves about 1-2 weeks of recovery. Also, there are many facial fillers on the market to correct deep smile lines. These include Radiesse, Perlane, Juvederm, and Restylane to name a few. Talk with your plastic surgeon to discuss rhinoplasty options as well as to determine which filler is best for you. Good luck!
+1
Deep Smile Lines Are Ok
I don't think you should focus on the deep smile lines. Aesthetically speaking these lines do not look bad. The wide nose however can be a distraction and can be improved through rhinoplasty and alar wedge excisions. Your face is well balanced and I would not suggest any injections in the deep smile lines. You have a nice apple cheek and looks very natural. Over the years when you start noticing the aging process then you can start with a volumizing filler like Sculptra.
Regards...
more
Bedminster Facial Plastic Surgeon
+1
Wide nose and smile lines.
It appears that most surgeons have commented on the downward turning of your nose when you seem to indicate that it is "wide'. This is a common complaint and frequently reported with smiling. To some degree, we want you to keeps smiling and it is normal for the nostrils to flare slightly. However, there are options to reduce the width of the nose by diminishing the size of the nostrils.
As mentioned, there are fillers to soften the appearance of the smile lines and Restylane appears to...
more
+1
A smile can change the shape of the nose
In some individuals you may notice that a strong smile can cause the lip to pull up under the nose in such a way that the tip of the nose appears to turn downward. We call this 'tension' in the nasal tip, as with a smile the projection of the tip is reduced as the tip turns causing the nose to appear slightly longer. Rhinoplasty can reduce the width of the bridge and tip, and importantly for some, rotate the tip to reduce the turn when smiling. The result can be spectacular.
The smile line...
more
+1
Refining a wide nose with rhinoplasty
Based on your photo, I think you would be a good candidate for a closed rhinoplasty. We would need to do a full formal exam, but the majority of the procedure would be focused on refining, elevating, and setting back the tip of the nose so that it's more in balance with the upper portion of your nose and with your face in general. This is a pretty straight-forward procedure and can be done either in a closed fashion (no external scar on the skin) or open fashion )one small incision...
more
+1
Wide noses can be made narrower by a number of techniques and treatment of smile lines
Wide nasal bones can be narrowed by moving the nasal bones. Wide nasal tips are narrowed by removing some of the excess cartilage as well as using sutures to further narrow the tip of the nose yet maintain sufficient strength to stand the test of time. From the photo submitted, the tip of your nose also pulls down with smiling. This can be treated as well by supporting the tip of the nose and detaching the muscle that pulls down the tip of the nose.
Deep smile lines are treated by a number...
more
+1
Treatment of a Wide Nose and Deep Smile Lines
Hi Jessica,
To improve the look of your nose, a rhinoplasty would be appropriate. Reshaping the tip of your nose and possible narrowing your nostrils may give you what you want. As far as, your smile lines, its difficult to assess when your smiling -- everyone has smile lines when they are smiling.
Best,
Dr.S.
+1
Treatment of Wide Nose and Deep Smile Lines
Hi Jessican,
Whatever you do, keep smiling. Smiling is the best form of plastic surgery.
For deep nasolabial folds, fillers such as Restylane, Juvederm, Radiesse, Sculptra, and even your own fat can be used both in your folds as well as in your midface to replace lost volume.
For your nose, best to consult with a few rhinoplasty surgeons to get their opinion after examining your nose and evaluating it. Do choose your treating physician most carefully as it is not the filler or surgical...
more
+1
Treating the wide nasal tip
It is hard to say without a face to face examination but it looks like the tip droops a bit. This can make the tip look wider than it otherwise would. The desired width (outside edge of nostril to outside edge of nostril) is the same as the distance between inner and outer corners of an eye (usually 32mm). What exact method would be best in terms of nasal surgery cannot be stated without a specific set of photos and/or a face to face examination. Deep smile lines are currently addressed...
more
+1
Nasal improvement
While nothing can be based on a smiling photo and realizing that the angle you show is not optimal, it looks like you could have improvement with a rhinoplasty to refine the tip and correct the downward displacement of the tip. Fillers in the nasolabial folds will help too.
+1
A more Attractive Nose
To get the best opinion, you would need to be examined, on in the least provide several views of the nose smiling and not smiling.
From this single view, you appear to have:- a Long nose (which could be shortened)- a "plunging" nose tip (which could be raised)- an overly projecting nose tip (which could be lowered)- a rather bulbous nasal tip with very large convex lower lateral cartilages - which would respond very nicely to refinement with a tip rhinoplasty
I would suggest you...
more
Anxious about rhinoplasty and whether you're getting the full story? Learn 9 secrets from a RealSelf community member who went through it all.